Surgical outcomes of the head and cancer patients: 20 years single surgeon experience in single institution (#1146)

Background: Between March 1994 and February 2014, we have experienced a total of 1009 cases of the head and neck malignancy.

Aim: . Of
total 1009 head and neck cancer patients were treated by the single head and
neck surgeon. We analyze the result of surgical treatment in a single institution by a single surgeon.

Methods: Retrospective analysis of surgery-based treatment of head and neck cancer last 20 years.

Results:There were
829 men and 180 women ranging in age from 10 to 89 years. The laryngeal cancer
patients were 340 cases, followed by the tongue cancers in 216, the tonsil
cancers in 112, the hypopharyngeal cancers in 98, the naso-maxillary cancers in
71, the salivary cancers in 45, the unknown primary lesion in 31, and the miscellaneous
cases in 96 cases. Total of 362
reconstructions with flaps from various donor sites were performed.

In the
laryngeal cancer, according to the subsite, glottic, supraglottic and
subglottic cancer is 260, 78 , and 2 cases, respectively. 119 patients were
performed laser cordectomy, 23 in hemilaryngectomy, suparglottic partial
laryngectomy in 35, Supracricoid partial laryngectomy(SCPL) in 98, total laryngectomy
in 62, Vertical hemipharyngo-laryngectomy(VHPL) in 3 cases. In the tongue
cancer, according to the subsite, 160 in mobile tongue, 20 in floor of mourh(FOM),
and 36 in base of tongue(BOT). In the hypopharyngeal cancer, pyriform sinus is
74 cases, postpharyngeal wall 27, and postscricoid 1 case. Five year disease
specific survival rate according to the primary site is 91.1% in the laryngeal
cancer, 92.8% in the tongue cancer, 80.1% in the tonsil cancer, 62.4% in the hypopharynx
cancer, 73.8% in the naso-maxillary cancer, and 81.2% in the salivary cancers.

Conclusions: We reported our result of the surgical treatmen of head and neck cancer that have experienced last 20 years.